Eunuchs in contemporary society: Expectations, consequences, and adjustments to castration (Part II)
Eunuchs in contemporary society: Expectations, consequences, and adjustments to castration (Part II)
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DOI：
10.1111/j.1743-6109.2007.00522.x
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发表时间：
2007-07-01
影响因子：
3.5
通讯作者：
Wassersug, Richard J.
中科院分区：
文献类型：
--
作者：
Brett, Michelle A.;Roberts, Lesley F.;Wassersug, Richard J.
导论.在西方世界，有些男人自愿被阉割，而不是从男变女的变性人。我们对该群体的成员进行了调查，以了解他们对雄激素剥夺（AD）的反应，以及他们的经历如何符合他们对AD的期望。方法。我们在太监档案（http：//www.example.com）上发布了一份调查问卷，收到了92名自愿切除睾丸的男性的回复。www.eunuch.org从这份问卷的数据进行了补充，与19名太监的访谈。参与者完成了关于以下内容的问卷：（i）他们预期和经历的副作用;（ii）他们目前的身体和心理状况;（iii）他们的遗憾程度;（iv）他们最欣赏他们的阉割状态;（v）谁执行了他们的睾丸切除术。阉割最受欢迎的方面是对性冲动和食欲的控制感（52%）。主要的副作用是性欲减退（66%）、潮热（63%）和生殖器萎缩（55%）。这些人自我评价的社交能力、身心健康程度都很高。虽然去势后抑郁症状无明显减少，但自报强迫症的总体水平显著降低（P < 0.01）。22%的人报告性取向发生了变化。许多受访者（60%）采取补充激素治疗来抵消AD的副作用。使用补充睾酮和高剂量雌激素与自我报告的性欲和高于激动水平的活动显著增加相关（P < 0.001）。大多数阉割（53%）不是由医疗专业人员进行的。医学界需要意识到男性面临不安全阉割的风险，以便为他们提供更多关于AD副作用的信息，并获得安全的睾丸切除术。
Introduction. There are men in the Western world who are voluntarily castrated and are not male-to-female transsexuals.Aims. We surveyed members of this group to understand their responses to androgen deprivation (AD) and how their experiences matched their expectations of AD.Methods. We posted a questionnaire on the Eunuch Archive (http://www.eunuch.org) that received responses from 92 voluntarily orchiectomized males who identified as eunuchs. Data from this questionnaire were supplemented with interviews with 19 of the eunuchs.Main Outcome Measures. Participants completed questionnaire items regarding: (i) the side effects they expected and experienced; (ii) their current physical and psychological condition; (iii) their level of regret; (iv) what they appreciated most about their castrated status; and (v) who performed their orchiectomies.Results. The most appreciated aspect of castration was the sense of control over sexual urges and appetite (52%). The major side effects experienced were loss of libido (66%), hot flashes (63%), and genital shrinkage (55%). The population had high self-rated sociability, and mental and physical health. Although there was an insignificant reduction in depression after castration, the overall level of self-reported obsessive-compulsive disorders decreased significantly (P < 0.01). Twenty-two percent of the population reported a change in sexual orientation. Many respondents (60%) took supplemental hormone treatments to counteract the side effects of AD. The use of both supplemental testosterone and high-dose estrogen correlated with a significant increase in self-reported sexual desire and activity above the agonadal level (P < 0.001). The majority of the castrations (53%) were not performed by medical professionals.Conclusion. The medical community needs to be aware of men at risk of unsafe castrations in order to provide them with more information on the side effects of AD and access to safe orchiectomies.